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Biden Announces End of COVID Public Health Emergency in May
The Biden administrationannounced this week that the COVID-19 Public Health Emergency (PHE), first issued in March 2020, will end on May 11.The PHEwaived a host of restrictions on the use of telehealth to help patients receive services, including mental health services, without leaving their homes. With the end of the emergency, those waivers will be lifted, and several pre-pandemic regulations will be back in effect. These include the following:With very few exceptions, health care professionals registered with the Drug Enforcement Administration (DEA) will be required to have had an in-person visit with a patient in orde...
Source: Psychiatr News - February 1, 2023 Category: Psychiatry Tags: Biden administration controlled substances COVID DEA in-person visit pandemic public health emergency telehealth White House Source Type: research

Management of adult renal trauma: a practice management guideline from the eastern association for the surgery of trauma
The kidney is the most frequently injured component of the genitourinary system, accounting for 5% of all trauma cases. Several guidelines by different societies address the management of urological trauma. Ho... (Source: BMC Surgery)
Source: BMC Surgery - January 27, 2023 Category: Surgery Authors: Hiba Abdel Aziz, Nikolay Bugaev, Gerard Baltazar, Zachary Brown, Krista Haines, Sameer Gupta, Lawrence Yeung, Joseph Posluszny, John Como, Jennifer Freeman and George Kasotakis Tags: Research Source Type: research

You Have Been Hacked!
Ann Fam Med. 2023 Jan-Feb;21(1):85-87. doi: 10.1370/afm.2906.ABSTRACTOn October 31, 2021, I learned the electronic health record in my independent, solo practice had been attacked by a Russian syndicate who was holding our data and our practice management system for "ransom." An encryption key could be given to our cloud provider once $5,100,000 was delivered in bitcoin to the hacking entity. After 3 long months of negotiations, with us going back to a completely paper-based system in the interim, our cloud provider paid the Russian syndicate and access was restored. There were many lessons to be learned from our experienc...
Source: Annals of Family Medicine - January 23, 2023 Category: Primary Care Authors: Ed Bujold Source Type: research

E/M Coding Changes for 2023
The last time that evaluation and management (E/M) coding guidelines were significantly overhauled was in 1995 and 1997. To put that timeframe in context? Hospitalist was a term coined in a 1996 New England Journal of Medicine article. Well, change is coming to current procedural terminology (CPT) codes on January 1—and with not nearly as much fanfare as some coding experts and policymakers would like. Among the largest changes: The Observation CPT codes are collapsing into the Inpatient codes so hospitalists would bill the same code for patients regardless of whether they are inpatient or observation. There no longer w...
Source: The Hospitalist - December 13, 2022 Category: Hospital Management Authors: Lisa Casinger Tags: Advocacy Business of Medicine Source Type: research

How Split Billing Could Affect Hospitalists
This summer, the Centers for Medicare and Medicaid Services (CMS) proposed to extend the transition year from 2023 to 2024 for the split-billing rule. The delay was finalized in its November release of the calendar year (CY) 2023 Physician Fee Schedule. While SHM’s director of government relations and chief legal officer, Josh Boswell, and director of policy and practice management, Josh Lapps, are pleased with the extension, they know SHM’s work on this issue isn’t done. Before we get into that, let’s take a look at how we got here. In 2021, CMS published the CY 2022 Physician Fee Schedule rule, which included a t...
Source: The Hospitalist - December 13, 2022 Category: Hospital Management Authors: Lisa Casinger Tags: Advocacy Business of Medicine Medicare Practice Management Source Type: research

Hospitalists ’ Reflections Offer Hope and Optimism for the Coming Years
As we come to the close of 2022, we take a moment to reflect on what we’ve learned these last few years, and more importantly, what new challenges and opportunities lie ahead. We spoke with hospitalists and leaders from a variety of institutions to get their feedback. The views they’ve shared are their own and not those of their institutions. Dr. Thompson Rachel Thompson, MD, MPH, FACP, SFHM, SHM president, is the chief medical officer at Snoqualmie Valley Hospital and Public Health District in Snoqualmie, Wash. Dr. Thompson says the most important lesson hospitalists have learned in the last three years is that the...
Source: The Hospitalist - December 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Hospital Medicine Leadership People in HM Source Type: research

HTA63 Implementation and Application of the Physician Information System (Arztinformationssystem, AIS) in Germany
The objective of this analysis was to present the content of the XML file and possible applications of this data for the AIS and other purposes. (Source: Value in Health)
Source: Value in Health - December 1, 2022 Category: International Medicine & Public Health Authors: F Mattern, D Schnauffer, T Wiest, J Cook, P Gallinger Source Type: research

Barriers and facilitators to cervical cancer screening for women from culturally and linguistically diverse backgrounds; a qualitative study of GPs
Conclusions This study highlights that multiple, inter-related barriers and facilitators influence CALD women’s engagement with CCS, and that GPs needed to manage all of these factors in order to encourage CCS participation. More efforts are needed to address the barriers to ensure that GPs have access to appropriate resources, and CALD patients have access to GPs they trust. (Source: BMJ Open)
Source: BMJ Open - November 14, 2022 Category: General Medicine Authors: Chandrakumar, A., Hoon, E., Benson, J., Stocks, N. Tags: Open access, General practice / Family practice Source Type: research

Chapter Spotlight: New York City/Westchester
Every SHM Chapter in the country dealt with the crisis scenarios wrought by COVID-19. Massive upticks in patient censuses hobbled hospitalists in every state. Burnout from seemingly endless days affected health care professionals across the country. News headlines of worry on how our nation’s health care system would handle it all took center stage. Dr. Giordano However, not every SHM Chapter covers New York City and Westchester County, the epicenter of the pandemic in the spring and summer of 2020. So not to sound too much like a New Yorker, but chapter president Mirna Giordano, MD, a pediatric hospitalist at Columbia...
Source: The Hospitalist - November 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Chapters Source Type: research

The mobile sleep medicine model in neurologic practice: Rationale and application
BackgroundUndiagnosed obstructive sleep apnea (OSA) is prevalent in neurological practice and significantly contributes to morbidity and mortality. OSA is prevalent in US adults and causes poor quality sleep and significant neurocognitive, cardiovascular, and cerebrovascular impairments. Timely treatment of OSA reduces cardio-cerebrovascular risks and improves quality of life. However, most of the US population has limited systematic access to sleep medicine care despite its clinical significance.FocusWe discuss the importance of systematic screening, testing, and best-practice management of OSA and hypoventilation/hypoxem...
Source: Frontiers in Neurology - October 28, 2022 Category: Neurology Source Type: research

Hospitalists Join in Sustainability Efforts
Ms. Wohlford is the director of sustainability for Carilion Clinic. The Roanoke, Va.-based health system has numerous awards and recognitions for its sustainability efforts that include everything from installing solar-power receptors to hiring sheep to keep the lawn. Carilion Clinic. In a world transformed by environmental degradation and the effects of climate change, hospitals can be major generators of greenhouse gases, energy consumption, and waste. But they are also important centers for health and wellness promotion, not just for the patients they serve but also for staff and their communities. That is why a growi...
Source: The Hospitalist - October 3, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Practice Management Source Type: research

Management of the open abdomen: A systematic review with meta-analysis and practice management guideline from the Eastern Association for the Surgery of Trauma
CONCLUSION We conditionally recommend the use of a fascial traction system over routine care when treating a patient with an OA after DCL. This recommendation is based on the benefit of improved primary myofascial closure without worsening mortality or enterocutaneous fistula formation. We are unable to make any recommendations regarding techniques to reduce visceral edema. LEVEL OF EVIDENCE Systematic Review and Meta-Analysis; Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: INDEPENDENT SUBMISSION Source Type: research

Collaborative centralization of gynaecological cancer care
Purpose of review To discuss the benefits of centralization of gynaecological cancer care on patients and the healthcare system and how to overcome its barriers. Recent findings Evidence demonstrates that adherence to clinical practice management guidelines is more likely; the risk of adverse events is lower; survival is improved; in young women fertility preservation is higher; and cost effectiveness is higher; in systems that employ centralized care for women with gynaecological cancer. Barriers to the uptake of centralized models include knowledge, attitude as well as deficient systems and processes, includin...
Source: Current Opinion in Oncology - August 15, 2022 Category: Cancer & Oncology Tags: GYNECOLOGIC CANCER: Edited by Frédéric Amant and Christianne Lok Source Type: research

Continuing professional development programs for general dentists in Isfahan province, Iran: Interests, priorities, and obstacles
Conclusion: Based on the results of this study, dentists in Isfahan province reported more interestand need to participate in some fields of CPD courses including practice management, pediatricdentistry, and oral and dental reconstruction. Thus, a system for continuing education based ondentists ’ needs and preferences is highly suggested.Key Words: Continuing dental education, dentists, health priority, need assessment (Source: Dental Research Journal)
Source: Dental Research Journal - August 11, 2022 Category: Dentistry Source Type: research

History and Importance of Procedural Medicine
Dr. Ault, considered a pioneer in procedural medicine, often used chickens as teaching tools in his courses. Over the past 30 years, the number of procedures performed by internists has steadily declined.1 Concordantly, the requirement to complete a minimum number of procedures during residency for board certification by the American Board of Internal Medicine was removed in 2007. As interest in performing procedures declined among internists and increased among other specialties, procedural medicine evolved into a profession all its own. Hospitalists have been at the forefront of this shift, developing medical procedure...
Source: The Hospitalist - August 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Education Hospital Medicine Practice Management Source Type: research